Laserfiche WebLink
SAN ,IOAQUIN COUN'T'Y � <br /> PUIFLIC IIEAI;I'II SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT &lr-4 t;m om V PRONE N0 2eg - f"15`5 zao <br /> ADDRESS P.o• Sex zo A4c&,447 Com- 4'SL0/-3020 <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FFILE AMR-E-55 LEAD AGENCY <br /> DATE <br /> l 9 47 F A�SeN <br /> 1 f03 F. FrLµ dry S/ 0.4 4 <br /> Z /5.0 E. A S/.,/ W 451 ow.x, w A7MLfyGM <br /> LnSn FrjilMcMt S(. 01L�t /4f (S <br /> /5-/q F . Scoffs 1' of r R(cdt ti <br /> L S• % Z E/1c r0 Dom/ <br /> 7 �Z S . 5,4�{ S0 fa Fe R.ilrawr/ <br /> TEAS NOTICE IS SUBJECT TO 971E RFQUIRPMEN-1.3 IDBN'I7PIED IN 97IE PUBLIC HEALTH <br /> SFR V ICES/EN V IRONMF_NTAL HFAI.TII DIVISION (FHD) POLICY#92-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND TILE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THOU FRIDAY EXCLUDING HOLIDAYS. 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.m. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF$78.00 <br /> IS REQUIRED- DFPOSITS WILL BE RGTURNED TO TIIF APPLICANT IF TIIF FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE FHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEF <br /> CHARGE. THE BALANCE OF THF CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5. PUBLIC F1LFS/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL OF BILLED TO II1F. APPLICANT FOR PAYMENT. <br /> \� 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EFID PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> FII OO 14 (REV 12/92) <br />